Universal Provider Datasource

Promoted by the center for Affordable Quality Healthcare,the Universal Credentialing Datasource is now known as UPD or Universal Provider Datasource.
UPD is the industry standard for collecting data used in physician credentialing and currently serves over 7770,000 health care professionals and over 550 participating health plans and health care organizations. UPD information, provided by physicians is stored in a centralized database in the united States and physicians in all 50 states and the District of Columbia have access to this simple online form that is also utilized in claims processing, quality assurance, emergency response, member services, referrals and more.
Doctors use an online form to tenter their professional data and allow healthcare organizations
of their choice to access this data for credentialing. The information entered is managed solely managed by the physician and changes are done at his or her own convenience. UPD does conduct its own audits to assure that data is entered correctly.
Once you have a contracted agreement with one recognized UPD plan or affiliated hospital, you will be invited,by mail, to participate with CAQH. You will receive a Provider ID number and the password needed to access your information online.
Many commercial insurance plans use CAQH in lieu of a paper application and only require that you attach copies of those documents previously discussed to complete the application process.
Once you have been accepted by a commercial insurance plan as a participating provider, you will receive a copy of your managed care contract, along with and ID number you will need to use when transmitting your claims for payment. Many plans will allow you to your your Tax ID as your provider number. Please note that group practices should request a single ID number that covers all the doctors who are par with the plan. This single ID will allow you to bill under any doctor that participates and to bill and receive remittances under your group name. You can speak to your provider representative about the best way to manage your groups billing under your Tax ID.
CAQH is available for help with physician questions by phone @ 888-599-1771 or via e-mail to
caqh.updhelp@acsgs.com

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